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Medicare
Medicare
Federal insurance program that provides health coverage if you are 65+ or under 65 with a disability. It is partially paid for with payroll taxes.
Parts A: covers hospitalizations and skilled nursing facilities
Part B: covers doctors visits, home health, and durable medical equipment (DME)
Part D: covers medications
Resources
Resources
Oregon legal aid office: They assist with Medicare and Medicaid/OHP termination cases
Oregon public benefits information & hotline: They provide legal advice & representation for low income people living in Oregon who are having problems with social security, SSI, Medicaid/OHP, coordinated care organizations, medical billing/debt, Medicare, food stamps, overpayments, and more
Medicaid
Medicaid
Need-based, state & county administered program that provides health coverage and services to low-income families and people with disabilities.
Oregon Health Plan (OHP)
Oregon Health Plan (OHP)
The Oregon Health Plan is a Medicaid expansion program authorized by Oregon Legislature that provides coordinated health care.
OHP program is run through local Department of Human Resources (DHS)
Health plan comparison tool: Answer a few questions to find the right plan and compare premiums, deductibles, out of pockets costs and more
How do you know if you qualify?
How do you know if you qualify?
Eligibility:
have a disability, be age 65 or older, or be blind
be a citizen of the United States or qualified non-citizen
live within the State of Oregon and plan to stay in the State
do not have a monthly income over $794 if single
have savings and assets limited to $2,000 if single
not have sold, traded, or given away real property or personal property for less than fair market value within 60 months of applying
How do you apply?
What is your medical coverage?
Coverage includes: regular check-ups, prescription, mental health care, addiction treatment, and dental care
Who do you call with questions?
Call your CCO or 800-273-0557
Resources:
Resources:
Oregon legal aid office: They assist with Medicare and Medicaid/OHP termination cases
Oregon public benefits information & hotline: They provide legal advice & representation for low income people living in Oregon who are having problems with social security, SSI, Medicaid/OHP, coordinated care organizations, medical billing/debt, Medicare, food stamps, overpayments, and more
NW Senior Disability Services: contracted out from Department of Adult Protective Services. They provide assistance with Medicaid/OHP application process for Marion, Polk, Yamhill, Tillamook, and Clatsop county.
Oregon Health Connect continues to provide assistance to consumers with health insurance questions or problems. Contact them at 1-866-698-6155
Private Insurance
Private Insurance
To find out about private health insurance options visit Healthcare.gov
To find in-network providers visit this website: getting medical care
It provides information and instructions on how to search for in-network providers. This process is going to vary based on the health plan
Prescription medication coverage: This page has information regarding instructions on how to find out your coverage, what to do if your medication isn’t covered, and how to fill a prescription. This is process is going to vary based on the health plan
Who do you call with questions?
This is going to vary based on each insurance. Typically, there is number on the back of the insurance card to call with questions.
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